Multifocal fractures of the femur

Multifocal fractures of the femur in modern traumatology are becoming more and more frequent and often pose difficult problems of treatment. In view of the sparse contributions on this subject in the literature, we analysed our series of 33 cases with a view to formulating our conclusions as to the best type of treatment. Because of the varied associations of different types of fracture in a single skeletal segment, there is no single method of synthesis applicable to all cases. The various means of synthesis at our disposal (Küntscher nail, Grosse Kempf blocked nail, Ender nail, AO plates and screws, external fixators) should be selected depending on the individual case, respecting the concept of closed surgery as much as possible. This requires imagination as well as experience.